Ticket Order Form!
Please print so we can read it!
Name___________________________________________
Address_________________________________________
City/Town__________________State______ZIP_________
Phone number (include area code)______________________
E-mail address_____________________________________
Names of Guests___________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
| Member* | $88.00 x _____ = |
$ ________ |
| Non-members | $98.00 x _____ = |
$ ________ |
| Tables of 10 | $980.00 x _____ = |
$ ________ |
| Additional Gift | $ ________ | |
Total Enclosed: |
$ ________ |
*The Member price is available for the Member only. Non-member guests of members pay the Non-member price.
Your canceled check is your receipt. Your placecard(s) will be available at the door. No tickets will be mailed.
All tickets must be purchased in advance. You CANNOT buy tickets at the door.
PLEASE MAKE YOUR CHECK PAYABLE TO:
BROADCAST PIONEERS OF PHILADELPHIA
Post Office Box 2886
Bala Cynwyd, PA 19004